Thomson, Jennifer Nicole

Thomson, Jennifer Nicole is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomson, Jennifer Nicole can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr West Bend WI 53095-9795
Phone: (262) 334-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10998-33 Wisconsin

Profile Details

NPI number 1053983577
LBN Legal business name Thomson, Jennifer Nicole
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2021
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053983577 NPPES
Wisconsin MEDICAID 1053983577
Wisconsin Other 10998-33

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